Patient Access Rep - Clinic

Powers Health • Munster, IN

2d

About The Position

Under general supervision, the Patient Access Representative coordinates services by performing patient access, registration, scheduling, insurance verification, and predeterminations. The role interacts daily with patients, insurance carriers, physicians, and staff. It is responsible for verifying and authorizing insurance benefits on patient accounts using electronic verification systems or direct contact, ensuring referrals, authorizations, and predeterminations are submitted efficiently and on time, and pursuing resolutions for accounts receivable balances.

Requirements

• High school graduate or GED equivalent.
• 1–2 years of insurance or medical billing experience.
• At least 1 year of experience with predetermination processes.
• Knowledge of medical terminology and CPT/ICD-9 and ICD-10 coding.
• Comprehension of government and third-party billing regulations.
• Ability to use Microsoft Office applications and perform internet navigation and research.
• Prior experience using a computerized health information system.
• Familiarity with general office equipment, including a scanner, fax machine, photocopier, printer, and adding machine.
• Effective communication and problem-solving skills.

Nice To Haves

• Experience in a physician practice setting.

Responsibilities

• Coordinate patient access, registration, and scheduling.
• Verify insurance coverage and obtain authorization of benefits for patient accounts through electronic systems or direct contact.
• Submit referrals, authorizations, and predeterminations efficiently and in a timely manner.
• Pursue resolutions for accounts receivable balances.
• Interact with patients, insurance carriers, physicians, and staff.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED